Jennifer L. Thibodeaux, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9698 Issued in FL

Legal business name

JENNIFER L. THIBODEAUX, PLLC

Practice address

2429 Central Ave Ste 208
St Petersburg, FL 33713-8848

Phone

(727) 610-2395

Fax

(727) 933-0399

NPI assigned

Mar 25, 2017

Last updated

Sep 8, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer L Thibodeaux, PH.D.NPI 1013467919

Title

Owner

Phone

(727) 610-2395

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Thibodeaux, PH.D.

  • Psychologist
  • St Petersburg, FL
  • NPI 1013467919
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1093246589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 CENTRAL AVE STE 208",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138848",
            "telephone_number": "727-610-2395",
            "fax_number": "727-933-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 CENTRAL AVE STE 208",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138848",
            "telephone_number": "727-610-2395",
            "fax_number": "727-933-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L. THIBODEAUX, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-25",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-610-2395",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth A Jenkins, D.C.
• Michelle Jenkins, OTR
• Mishania Jenkins
• Pamela Lynne Jenkins
• Patricia Jean Jenkins, ARNPC
• Jennifer Zhang Mental Health Counseling, PLLC
• Juanita Jennings
• Laura Jennings, ARNP
• Russell W Jennings, MD
• Jenny Bannister Counseling PLLC

• Clinical Psychologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.